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This document serves as an application for individuals with acquired brain injuries seeking the ABI Residential Habilitation Waiver through MassHealth, which provides care in a group home setting.
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How to fill out application for home- and

How to fill out Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)
01
Obtain the Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI) form from the appropriate agency.
02
Read the instructions carefully before starting to fill out the application.
03
Fill in personal information including the applicant's name, contact information, and date of birth.
04
Provide details about the individual's brain injury, including the date of injury and diagnosis.
05
List any prior medical treatments or rehabilitative services received.
06
Include information about current medical providers and support systems.
07
Indicate the types of services being requested through the waiver program.
08
Attach any required documentation, such as medical records or assessments.
09
Review the application for completeness and accuracy.
10
Submit the completed application to the designated agency by the specified deadline.
Who needs Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
01
Individuals with acquired brain injuries who require support services to live independently in the community.
02
Family members or caregivers of individuals with ABI who are seeking resources and assistance.
03
Individuals who are transitioning from institutional care back into the community and need support.
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People Also Ask about
What is a TBI waiver?
The Traumatic Brain Injury (TBI) Waiver is a program designed to provide support and assistance to individuals who have experienced a traumatic brain injury. This waiver program aims to help individuals live independently and enhance their quality of life by offering a range of services and supports.
Who qualifies for the HCBA waiver?
The HCBA Waiver allows Medi-Cal beneficiaries with high- level care needs to continue to live at home or in the community by identifying and ensuring applicants receive services that will sustain their health care needs and safety outside of an institution.
What does TBI mean?
Download "The Insurance Implications of Traumatic Brain Injury" Traumatic brain injuries (TBI) affect millions of American families each year. There are approximately 1.7 million cases in the U.S. annually, and everyone of any age is exposed to risk.
What is the Abi waiver program?
These waivers will afford applicants access to a range of services including case management, residential habilitation, individual support and community habilitation, one-time transitional services, homemaker services, personal care, respite, supported employment, specialized medical equipment, adult companions, home
What is abi mfp?
Supports funded by the Acquired Brain Injury (ABI) Community Living Waiver and Moving Forward Plan (MFP) Community Living Waiver and delivered by Empower focus on providing a smooth transition home and on-going care for individuals discharging from long-term care facilities.
What are the benefits of the TBI waiver?
Overview of the TBI Medicaid Waiver Program This program focuses on tailoring assistance to each person's unique needs. Services may include physical and occupational therapy, personal care help, home modifications, and even transportation for non-medical purposes.
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What is Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
The Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI) is a formal request for access to state-funded resources and services designed to support individuals who have sustained an acquired brain injury, facilitating their ability to live more independently in their homes and communities.
Who is required to file Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
The application must be filed by individuals diagnosed with an acquired brain injury who are seeking funding for home and community-based services. Family members or legal guardians may also file on behalf of eligible individuals.
How to fill out Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
To fill out the application, individuals must provide personal information, medical history, details about their brain injury, and any prior care received. It often includes filling out specific forms available through the local health department or designated agency, and may require supporting documentation.
What is the purpose of Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
The purpose of the application is to determine an individual's eligibility for home and community-based services that can aid them in living independently and improving their quality of life after an acquired brain injury.
What information must be reported on Application for Home- and Community-Based Services Waivers for Persons with Acquired Brain Injury (ABI)?
The application typically requires reporting personal information, medical documentation regarding the acquired brain injury, assessments of daily living skills, prior treatment and services received, and any financial information relevant to determining eligibility for assistance.
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